A client is admitted to the birthing unit to rule out preterm labor. The nurse charts only abnormal findings. This type of charting is a form of:

a. Narrative charting
b. Charting by inclusion
c. Charting by exception
d. Source oriented charting


C
Charting by exception is a system of charting where only exceptions to the normal findings or to the unit standards are charted. These are directed by organizational, professional, and legal guidelines. Narrative charting records all findings, normal and abnormal. Charting by inclusion is not discussed in the text. Source-oriented charting refers to each healthcare practitioner's charting in a specific section of the chart. For example, nurses would document in the nurses' notes section and physicians would document in the physician section of the healthcare record.

Nursing

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The stage of family development that begins when conception occurs and continues through the pregnancy is known as the:

a. expectant stage. b. parenthood stage. c. establishment stage. d. engagement/commitment stage.

Nursing

The nurse is caring for a client with a closed chest drainage system. While repositioning the client, the chest tube dislodges. What is the immediate nursing intervention?

A) Reinsert the chest tube. B) Notify the physician. C) Cover the exit site. D) Apply oxygen via face mask.

Nursing

The client is prescribed to receive iron dextran by the Z-track method of intramuscular injection. Which technique should the nurse use to adhere to the Z-track method?

A. Inject medication only into the dorsal gluteal site. B. Take care to ensure that no air is present in the syringe. C. Select a 22-gauge, 1-inch needle to minimize tissue trauma. D. Massage the site for a minimum of five minutes after the injection.

Nursing

A nursing student is about to give a newborn baby a Hepatitis B injection. The student knows that the injection must be given IM. The best place to give an IM injection on a newborn is:

1. The deltoid. 2. The abdomen. 3. The rectus femoris. 4. The forearm.

Nursing